Provider Demographics
NPI:1568445856
Name:SCHETTLER, DARIN JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:JAMES
Last Name:SCHETTLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 GUERNEVILLE RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-4175
Mailing Address - Country:US
Mailing Address - Phone:707-576-1595
Mailing Address - Fax:
Practice Address - Street 1:2448 GUERNEVILLE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-4175
Practice Address - Country:US
Practice Address - Phone:707-576-1595
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice